An image with hands and a bubble is positioned in the middle of the poster because the hands contrasted well with the fragility of the bubble (representing stigma) and drew attention to the symbolism of person-centred care (PCC), an approach which challenges the distinction between nursing models and focuses on establishing and acknowledging an individual’s wishes (Ekman et al., 2011). Mrs Jones was afraid to be connected to the CSCI due to the myths and stereotypes surrounding it. In general, it is believed that CSCI is only used at the end of life and that it is the same as palliative care. It is very important to understand these terms. Marie Curie (2017) states that palliative care is for people with a terminal illness, where cure is no longer possible, and for people with complex illnesses who need their symptoms controlled, whereas end-of-life care is a part of palliative care for people who are nearing the end of life; in this sense, end-of-life care is considered to be for those in the last year of life. It is very important to acknowledge such distinctions, as doing so can lead to an acceptance of disease and life prognosis. According to Bostwick (2017), the open hands symbolise talking openly, explaining that you have choices and actions. In addition, outstretched palms highlight support/help for Mary with no hidden messages (Changing Minds, 2017). The colour black has been used as it …show more content…
However, health professionals should not assume that patients will always be clear about what they want in all cases. The patient (Mary Jones) must be encouraged to participate in her own care planning and we must act as partners in decision-making. Mrs Jones’ needs will be supported with a syringe driver, ensuring she receives the information needed for making informed-decisions. Despite this, the syringe driver (pump) can be restrictive on the go (some patients report CSCI is heavy to carry); it is equally important to reassure her family about this and involve them in her care (Marie Curie, 2017; Hannah, 2013). However, there is evidence that the pump facilitates independence in daily life activities (depending on where it is sited and the patient’s physical strength and ability to walk). In order to deal with this issue, health professionals must assess the patient’s psychological needs (consider the psychological impact of carrying a syringe driver), as doing so will help to build therapeutic relationships, and enhance comfort and emotional